DCH-i [Dec. 2014]

December 2014

Special Bulletin

Online-Only Provider Enrollment Applications for Individual Practitioners Starting January 1, 2015

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Dear Providers,
Effective January 1, 2015, DCH and Hewlett-Packard Enterprise Services (HPES) will no longer accept paper enrollment applications from individual practitioners. As of that date, DCH will require that all individual providers submit their enrollment applications online through the Georgia Medicaid Management Information System (GAMMIS) at www.mmis.georgia.gov.
DCH is implementing this process to expedite the enrollment process for Georgia Medicaid providers, and to increase efficiency, effectiveness and reduce the administrative burden for the provider community.
All paper application forms will be removed from GAMMIS. Additionally, any paper applications received on or after January 1, 2015, will be returned to the applicant with instructions to submit the application online through the GAMMIS Web Portal.
Individual practitioners enroll in Medicaid through the GAMMIS Web Portal at www.mmis.georgia.gov by:
Clicking on Provider Enrollment. Clicking on Enrollment Wizard (scroll to bottom of screen). Clicking on Provider Enrollment Application. Clicking on New Application. For Request Type, select Individual or CMO Only Individual.
After the application is completed and has been submitted, you will receive an Automated Tracking Number (ATN). Immediately after submission, you may upload all required documents by clicking on the Upload Required Documents link. To upload the documents at a later time you may:
Click on Provider Enrollment. Click on Enrollment Application Status. Type ATN and Last Name of Provider and click on Search. Click on Upload Required Documents. Click on pertinent Attachment Description. Attach a digital copy of your supporting documentation, if applicable.
To check the status of your application:
Click on Provider Enrollment. Click on Enrollment Application Status. Type in your ATN and Last Name of Provider and click on Search.
For questions or additional information, contact Medicaid's fiscal agent HPES at 800-766-4456 or email Enrollment@dch.ga.gov

About DCH
Through effective planning, purchasing and oversight, the
Department of Community Health (DCH) provides
access to affordable, quality health care to millions of
Georgians, including some of the state's most vulnerable and underserved populations.
DCH is responsible for Medicaid and PeachCare for
Kids, the State Health Benefit Plan, Healthcare Facility Regulation and
Health Information Technology in Georgia.
Clyde L. Reese III is the DCH Commissioner. We are dedicated to A Healthy Georgia.
www.dch.georgia.gov
Editor-in-Chief Jeremy Arieh Circulation Janice Abrams Director of
Communications and Legislative Affairs
Lisa Marie Shekell

DCH Mission
We will provide Georgians with access to affordable quality health care through effective planning, purchasing
and oversight.

We are dedicated to A Healthy Georgia.